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A

87/100

Excellent

Fellowship Village

300 East Jefferson, Inwood, IA 51240

CMS 4/5 stars #1 of 3 in Lyon County (712) 753-4663
Certified beds
40
Occupancy
90%
Ownership
Non-profit
Accepts
Medicare + Medicaid

Our read on Fellowship Village

Fellowship Village sits in Inwood, a small town in Lyon County, and it's run by a nonprofit corporation, which tends to mean any surplus goes back into the building rather than out to shareholders. On paper, the care side looks solid: four stars each on health inspections and quality measures, and just six deficiencies on the current record with none rising to harm or jeopardy and nothing abuse-related. The catch is staffing, where it earns only one star, well below what you'd want for 40 residents. Inspections were recent, in November 2025, so the picture is current. The takeaway: good outcomes so far, but ask directly how many aides are on the floor during evenings and weekends.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing27.5/30Stability7.5/15Outcomes12/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

27.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →5.99 total nurse hours per resident per day (national median 3.77)
  • →1.19 RN hours per resident per day
  • →Weekend staffing drops 18% against weekdays

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →No turnover figure reported, scored neutral

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day5.44 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours1.19 hrs
National average 0.69 hrsBetter than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours4.48 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnoverNot reported

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: November 20, 2025 (11 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

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Common questions about Fellowship Village

What is the ElderGrade for Fellowship Village? +

Fellowship Village holds an ElderGrade of A (87 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Fellowship Village? +

Residents receive an average of 5.44 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Fellowship Village been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Fellowship Village accept Medicaid? +

Yes, Fellowship Village is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.